Dura-Med Southeast Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Evergreen, AL
NPI 1649375460 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1649375460
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 366 (AL)
- Legal business name
- DURA-MED SOUTHEAST INC
- Practice address
- 110 Lewis St
Evergreen, AL 36401-3317 - Phone
- (251) 578-1333
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Alicia Barrow
- Title
- Compliance Officer
- Phone
- (850) 675-2448
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930015107 | AL | DME Supplier - Medical Supply Company |
0345243358 | Practice locations: Evergreen, AL |
National Provider Directory
- Tax ID family
- Flomaton Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 366 | AL | Yes |
Addresses
Primary practice location
110 Lewis St
Evergreen, AL 36401-3317
Mailing address
110 Lewis St
Evergreen, AL 36401-3317
Phone (251) 578-1333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009985890 | Medicaid | AL | |
| 51505269 | Other | AL | AL BCBS |
Other providers in Evergreen, AL
- Conecuh County Health Dept STD
- Conecuh County Health Dept VFC Immun
- Kevin J Davis
- Dialysis Clinic Inc
- Dura Med Southeast, Inc.
- Dura-Med Southeast Inc
- Kelsi Dykes
- Lakoya Edmonds
- Encore Rehabilitation, Inc.
- Evergreen Dental Center
All providers in Evergreen, AL · Durable Medical Equipment & Medical Supplies in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.